Provider Demographics
NPI:1124010533
Name:PLATINUM CARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PLATINUM CARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-268-2628
Mailing Address - Street 1:25572 SCHOENHERR RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-1420
Mailing Address - Country:US
Mailing Address - Phone:586-268-2628
Mailing Address - Fax:586-268-3298
Practice Address - Street 1:25572 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-1420
Practice Address - Country:US
Practice Address - Phone:586-268-2628
Practice Address - Fax:586-268-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI237528251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237528Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER